Is it a pressure ulcer on the side of her foot related to the way it has
been laying on the bed?  I have seen several of these in residents that
have had femur fractures because of the way they lay their foot on the
bed.  I would carefully assess to see if it was pressure-related or not.

Brenda W. Chance, RN, RAC-C
MDS Coordinator
 
 
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-----Original Message-----
From: Billy Jo Stewart [mailto:[EMAIL PROTECTED] 
Sent: Friday, January 23, 2004 9:33 AM
To: [EMAIL PROTECTED]
Subject: wound staging

Hello Everyone,

        I have a resident that recently sustained a fracture.  she has
had a decline in her adl's.  Which we are pursuing a significant change
on her.  When wound nurse looked at resident.  She noticed that this
resident had a fluid filled sac hanging off of her foot.  The sac was
approximately 4x4  in measurement.  The area is not on resident's heel
it is on the side of her foot.  When I looked at it this am the fluid
filled sac has disipated a little.  How would anyone code this in
section M?

Thanks to all in advance for your help,

Billie Stewart, RNAC
[EMAIL PROTECTED]
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
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Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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